A m e r i c A n P h y s i c A l T h e r A P y As s o c i AT i o n

AnnuAl RepoRt2010

We Are AptA

Vision Statement

APTA Vision stAtement for physical therapy 2020

Physical therapy, by 2020, will be provided by physical therapists who are doctors of physical

therapy and who may be board-certified specialists. consumers will have direct access to physical

therapists in all environments for patient/client management, prevention, and wellness services.

Physical therapists will be practitioners of choice in patients’/clients’ health networks and will hold

all privileges of autonomous practice. Physical therapists may be assisted by physical therapist

assistants who are educated and licensed to provide physical therapist directed and supervised

components of interventions.

Guided by integrity, lifelong learning, and a commitment to comprehensive and accessible health

programs for all people, physical therapists and physical therapist assistants will render evidence-

based services throughout the continuum of care and improve quality of life for society. They will

provide culturally sensitive care distinguished by trust, respect, and an appreciation for individual

differences. While fully availing themselves of new technologies, as well as basic and clinical

research, physical therapists will continue to provide direct patient/client care. They will maintain

active responsibility for the growth of the physical therapy profession and the health of the people

it serves.

Purpose

The American Physical Therapy Association exists to improve the health and quality of life of

individuals in society by advancing physical therapist practice.

ASSociATion puRpose

organizational Values

Association staff and members working on behalf of the association:

• arecommittedtoexcellenceinpractice,education,andresearch;

• respectthedignityanddifferencesofallindividualsandcommittobeingaculturally

competentandsociallyresponsibleassociation;

• actwithprofessionalism,integrity,andhonesty;and,

• makedecisionsthatreflectvisionarythinking,excellence,innovation,collaboration,

and accountability.

ASSociATion oRgAnizAtionAl VAlues

Membership Statistics

Category 2009 2010 Gain/(Loss)

*PT 50,106 51,595 1,489

*PTA 5,246 5,450 204

Life 2,277 2,306 29

ReTiRed 83 102 19

HonoRARy 11 10 (1)

STudenT PT 14,104 15,104 1,000

STudenT PTA 2,151 2,687 536

MASTeR’S STudenT 10 8 (2)

docToRAL STudenT 240 248 8

ToTaLs 74,228 77,510 3,282

APTA membeRship stAtistics 2009-2010

*These categories include members who do not pay full dues and student members who recently graduated and are eligible for reduced career starter dues.

Board of Directors

BoArD of DiRectoRs

Back row from left: ConnieD.Hauser,PT,DPT,ATC,Barbourville,KY,treasurer;AimeeKlein,PT,DPT,DSc,OCS,Chelsea,MA;ShawneE.Soper,PT,DPT,MBA,Richmond,VA,speakeroftheHouse;PaulRockarJr,PT,DPT,MS,Murrysville,PA,vicepresident;R.ScottWard,PT,PhD,SaltLakeCity,UT,president;RogerA.Herr,PT,MPA,COS-C,Seattle,WA;MaryC.Sinnott,PT,DPT,MEd,Lansdowne,PA;KathleenK.Mairella,PT,DPT,MA,Nutley,NJ;LauritaM.Hack,PT,DPT,MBA,PhD,FAPTA,BrynMawr,PA,secretary.Frontrowfromleft:WilliamF.McGehee,PT,MHS,Peoria,IL,vicespeakeroftheHouse;DianneV.Jewell,PT,DPT,PhD,CCS,Richmond,VA;KevinHulsey,PT,DPT,MA,Nampa,ID;NicoleL.Stout,PT,MPT,CLT-LANA,Bethesda,MD;SharonL.Dunn,PT,PhD,OCS,Shreveport,LA;LisaK.Saladin,PT,PhD,MtPleasant,SC.

RepoRts

President

2010 was a year of accomplishment and meaningful activity for APTA.

you may remember a video that APTA produced at the end of the year

highlightingsomeoftheassociation’sinitiatives;itwasjustapreludeto

our more-comprehensive accounting in this annual report. it’s clear that

we are making progress toward the outcomes of our strategic Plan, which

inturnfurthersourattainmentofVision2020,APTA’svisionforthefuture

of the physical therapy profession. you’ll read about that progress in the

strategic Plan section of this report. i also want to draw your attention to

some additional initiatives that APTA engaged in to help achieve our goals.

• APTA migrated the Guide to Physical Therapist Practice to the Web, making it more accessible and

user friendly, and providing an efficient platform for review and revision. What’s more, the online

Guide is free as a benefit to APTA members.

• ThankstoeffortsbytheVirginiaandWestVirginiachapters,legislationinthosestatesenhanced

their practice acts to protect title and terms for physical therapy and better define scope of practice.

• APTAstaffandrepresentativesmetwithmedicaldirectorsandkeydecisionmakersofmajor

private payers to facilitate future communication with health care insurers.

pResiDent’s rePorT

scott ward, AptA president

President

• APTAupdatedguidelinesforfunctionalcapacityevaluation(FCE)servicesthatphysicaltherapists

(PTs) use to measure function for return-to-work/activity decisions, disability determinations,

ordesigningrehabilitationplans.TherevisedFCEguidelinesincorporatethelanguageofthe

InternationalClassificationofFunctioning,Disability,andHealth.

• A new online resource on PT-PTA teamwork uses practice setting scenarios to guide PTs and

physical therapy students in the appropriate direction and supervision of physical therapist

assistants (PTAs) and to exemplify the collaboration between the PT and the PTA in providing

interventions for patients and clients. Also, 2 new algorithmic guides help PTs determine when to

direct interventions to the PTA, which interventions to direct, and how to appropriately supervise

the PTA once interventions have been selected.

• record attendances at our national conferences, even as members and their facilities look carefully

at their expenses, showed the value of these educational experiences. our combined sections

meeting in san Diego brought in more than 8,000 attendees, and PT 2010, our annual conference in

Boston, drew its highest attendance in 4 years.

IhavementionedjustafewofsomanythingsthatAPTAaccomplishedforyouin2010.Ihopeyou

enjoyreading,viewing,andlisteningtothisentireannualreport.Ithinkyou’llbeimpressedwiththe

return on your investment in APTA membership!

R. Scott Ward, PT, PhD

President

House of Delegates

The house of Delegates sets the direction for our future through debate and decision making on

substantive issues facing our profession. it also elects members to serve in national leadership

positions. your voice is heard through the delegates who you elect, representing the opinions and

interests of all physical therapist, physical therapist assistants, and student members.

During the 2010 house of Delegates a number of important motions were passed to both amend

current APTA positions and establish new ones. Among the actions taken were amendments to the

standards of Practice, establishment of the Principles of Professionalism, and a Declaration Against

Torture. in addition, the house determined that APTA should pursue opportunities to enhance physical

therapy term protection and to promote physical therapy’s role in combating childhood obesity.

Perhaps the greatest amount of debate centered around a proposed bylaw change that would replace

the 1/2 vote with 1 vote for physical therapist assistants (PTAs) at the component level, including

chapter and section elections and meetings. Although the motion ultimately failed to attain the 2/3

majorityvoterequiredforabylawchange,thedeliberationwasinsightful,productive,andteased

out several suggestions for how PTAs could be become more integrated in the association and help

inachievingVision2020,includingincreasedactivityincommitteesonthedistrict,chapter,andstate

levels.

house of DelegAtes rePorT

House of Delegates

you can find a summary of all the actions taken by the house within the online APTA house of

Delegates community, under reference materials/Archive/2010/summaryof house Actions (login first

to the association’s Web site at apta.org).

Preparations for the 2011 house began as soon as the 2010 house ended, with focus areas that

included delegate communication and education enhancements. The annual post-house survey

provided data for continual refinement of processes. Based on feedback from delegates, changes

include videotaping and posting of nominating committee candidate interviews, implementation of an

audience response system for use with elections, and standing counted votes.

i encourage you to become involved in the house of Delegates process by reviewing the issues that

will be considered this year by the delegates (login first to the association’s Web site at apta.org) and

then sharing your ideas and thoughts with your component delegates as they prepare for the 2011

house.

Shawne E. Soper, PT, DPT, MBA

speaker of the house

components

The committee on chapters and sections is tasked to enhance communication and collaboration

among APTA national, chapters, and sections. in 2010, the committee helped provide opportunities for

APTA and component leaders to discuss issues most relevant to the profession and the association.

The committee organized and hosted the component leadership meetings at csm in san Diego and

PT10 in Boston, focusing on issues such as:

• Governance review to look at how we can best use our resources and capitalize on our strengths to become a stronger organization

• component strategic plan alignment with APTA’s strategic plan to collectively achieve goals

• implementation of the profession’s brand at the national and component levels to help promote positive recognition of physical therapy

• RecommendationsbytheMemberEducationandMeetingsTaskForcetoenhanceandpromotealearning culture

• harnessing the power of social media to remain relevant and connected in today’s world

• collaborative opportunities through the APTA learning center and PTnow portal to enhance practice through quality education and access to information

• health care reform in Action to disseminate information and respond to the changing face of health care

components rePorT

components

ThechapterpresidentsmeetingsandsectionpresidentsmeetingsinFebruaryandJunewerealsoled

by committee members. These meetings provide presidents of chapters and of sections the opportunity

tomeetindependentlytodiscussimportantissueswiththeircolleagues.Forchapters,discussions

included topics such as emerging state legislative issues, reaching rural constituents, coordinating a

successful legislative day, examining the pros and cons of having districts, and developing lobbyist

contracts. section presidents focused on issues such as the role of sections in APTA practice and

researchinitiatives,collaboratingonsectionaudioconferences,challengeswithjournalpublishers,

and initiating a review of the csm agreement between APTA and the sections.

i would like to express appreciation on behalf of the committee on chapters and sections to the

extremely dedicated volunteers and staff across the association who worked tirelessly in 2010 to

promote the profession and serve our members. Thanks also to our APTA Board liaisons in 2010:

StephenMcDavitt,PT,DPT,MS,FAAOMPT,andRogerHerr,PT,MPA,COS-C,andtoourstaffliaison,

Dena Kilgore. i would also like to recognize my colleagues who served on the committee in 2010:

Geraldine Grzybek, PT, Gcs, steve Anderson, PT, DPT, Deirdre Daley, PT, DPT, carole Tucker, PT, PhD,

PCS,JimDunleavy,PT,MS,andShereeYork,PT,DPT,PCS.

respectfully,

James J. Irrgang, PT, PhD, ATC, FAPTA

ethics & Judicial committee

OnJuly1,2010,thesignificantlyrevisedcode of ethics for the Physical Therapist (code) and

standards of ethical conduct for the Physical Therapist Assistant (standards) went into effect.

The house of Delegates (house) expanded these 2 core association documents in 2009 to better

delineate the ethical obligations of all physical therapists and physical therapist assistants. in light

oftheserevisions,theEthicsandJudicialCommittee(EJC)revisedAPTA’sGuide for Professional

conduct and Guide for conduct of the Physical Therapist Assistant. These documents, which provide

interpretations of the revised code and standards, went into effect in november 2010.

Afterthe2009House,theEJCdevelopedandexecutedamulti-phasecommunication Plan to

disseminateandprovideextensiveeducationontherevisedCodeandStandards.Underthis

plan,pastandpresentEJCmembershavebeenworkingtogethertocreateextensiveeducational

resources. A highlight is a comprehensive online ethics course available from APTA’s learning

center. This course provides a brief history of ethics in physical therapy, discusses the rationale

forrevisingtheCodeandStandards,andexaminestherevisionsindetail.PastandpresentEJC

members also conducted several presentations on the code and standards revisions. Details of

these presentations can be found in the communication Plan.

ethics AnD JuDiciAl committee rePorT

ethics & Judicial committee

Additional ethics resources are available on APTA’s Web site on a page devoted to the revisions to

the code and standards. resources include frequently asked questions, a podcast, and numerous

articles, one of which applies the revisions to clinical scenarios.

other ethics resources have been created. numerous articles are available to assist with ethical

decision making. These ethical decision-making resources cover a variety of timely topics, such as

reimbursement, educating future clinicians, and workplace issues. A resource tandem to ethical

decision making is a page that provides resources and contact information for members who may

be faced with a potential complaint or disputes.

Finally,theEJChostedabreakfastforcomponentpresidentsandexecutivesandchapterEthics

committee chairs at the 2010 Annual conference. Additional ethics resources for component

leaders are available online within APTA communities.

stRAtegic PlAnAPTAmovedthephysicaltherapyprofessionforwardin2010,everclosertowardachievementofVision2020,our

vision of the future of physical therapist practice. The association pursued all of the 6 outcomes of the strategic

Thinking and Planning (sTP) initiative (www.apta.org/stp) that guides APTA’s activities over the next 3 to 5 years.

While the highlights below don’t begin to describe everything APTA did in 2010, they do summarize the steps taken

specifically toward the areas of focus outlined in our strategic Plan.

Access

Policy barriers to patient/client access to physical therapist services will be reduced and where

possible eliminated.

• Thanks to many years of relentless efforts from the hawaii chapter and APTA, hawaii was able to

delete the referral requirement in its regulations, thus providing for unrestricted direct access to

evaluation and treatment. The new regulations were signed into law in December.

• in its continued efforts to help Alabama and indiana, the 2 remaining states without any form

of direct access, APTA funded additional lobbying support for both state chapters, guided their

efforts to create “patient advocacy” Web sites that complement other social media outlets

to publicize the need for direct access in those states, and provided financial assistance and

planning for a lobby Day held in early 2011 in each state. APTA also provided grassroots strategy

and support to both state chapters.

• APTA supported the Texas chapter in preparing to seek 2011 legislation that would remove

restrictions to direct access, including funding and staff assistance for the chapter’s lobby Day

held in early 2011.

stRAtegic ouTcoMe:Access to physical therapist services

Access

• A new Web resource on apta.org encourages the use of direct access in physical therapist

practice in states that permit some level of direct access. A podcast describing the resource and

summarizing the results of a survey on use of direct access also is available on the Web page,

www.apta.org/DirectAccess.

• APTA secured language in the Affordable care Act directing the newly formed centers for

medicare and medicaid services (cms) innovation center to consider studying new models of

delivery of outpatient physical therapy, including direct access under medicare.

• AftertheMedicarePaymentAdvisoryCommission(MedPAC)releaseditsJune2010Report to

the Congress: Aligning Incentives in Medicare recommending a policy option to exclude physical

therapy from the in-office ancillary services (ioAs) exception, APTA capitalized on the findings

by meeting with key congressional and cms staff, initiating an immediate media push, and

promoting the report results in states where referral for profit is an issue.

• FurtheractivitiesagainstreferralforprofitincludedcontinuedsupportofSouthCarolina’s

ongoing effort to defend its current anti-PoPTs (physician-owned physical therapy services)

law. APTA also worked with the california chapter in securing a positive opinion from the

california legislative counsel Bureau office that prohibits physical therapists from working

for a medical corporation, and the association coordinated with the illinois chapter in its effort

to defeat legislation supported by the illinois medical Association that would nullify the fee-

splitting language found in the illinois physical therapy practice act. The illinois governor vetoed

the legislation, thanks in large part to the chapter highlighting the findings of the 2010 medPAc

report;unfortunately,theIllinoislegislatureoverturnedthegovernor’svetoinNovember.

education

An adequate number of quality physical therapist and physical therapist assistant education

opportunities will be available to provide entry-level and postprofessional learning experiences to

meet the needs of society.

• To help ensure that there are enough education programs and other opportunities to

accommodate the physical therapy workforce of the future, APTA collected baseline data on

current and new physical therapist (PT) and physical therapist assistant (PTA) program faculty

and their expertise, and on current PT and PTA graduates. This data, combined with additional

informationbeingcompiledonprojectedfacultyneeds,clinicalsites,andclinicalinstructorsand

theircredentials,willhelptheassociationassesscurrentandprojectedneedsinphysicaltherapy

academic and clinical education.

• To address the continuing educational needs of the physical therapy community, APTA

committed to developing a “curriculum map” for postprofessional physical therapy practice.

Workwillcontinuein2011todevelopthecriteria,framework,andcontent;tocompileresources;

and to establish a process for completion and periodic review of the map. other activities

included doubling the number of online courses for a total of 194 at the end of the year, and

converting all AcP courses to blended learning formats with pre-course readings and a post-test

stRAtegic ouTcoMe:education

education

toearnCEUs.InallAPTAprovided467differentofferingstotalingover2,349hoursofcontinuing

education.IncollaborationwiththeFederationofStateBoardsofPhysicalTherapy,APTA

developed a background paper, Web-based resources, and forums to explore issues surrounding

continuing competence in physical therapy practice.

• With more than 220 clinical instructor education and credentialing Programs (ciecP) or

Advanced ciecPs offered in 2010, the number of credentialed cis reached 31,512, approaching

APTA’s goal of 33,000 by the end of 2011. Advanced credentialed cis now number 828,

approaching APTA’s goal of 1,200 by the end of 2011.

• TheAmericanBoardofPhysicalTherapyResidentandFellowshipEducation recognized several

new programs as APTA strives to increase the number of PT residents and fellows. At the end of

2010, 282 positions were available.

• The framework for a new Web resource page for PTA educators was completed in 2010, with the

goal of selecting and developing materials to populate it in 2011.

• recognizing that learning is a central purpose of the association, APTA adopted guiding

principles for learning and a learner-centered model for culture, programs, and methods,

basedoninputfromtheTaskForceonMemberEducationandMeetings.Themodelexpresses

the expectation that collaboration between APTA national and its components depends on

shared responsibility, accountability, and financial responsibility and will draw on the collective

strengths of all parties.

Payment for Services

Payment policymakers will better recognize the value of physical therapist practice and create

payment policies that more accurately reflect the resources required to achieve efficient and

efficacious patient/client outcomes.

• 2010 was a challenging year for securing payment to physical therapists (PTs). legislation passed

late in 2009 temporarily held off cuts under the medicare physician fee schedule for 2010 but

did not extend the therapy cap exceptions process. Thus would begin a 6-month battle in which

payment cuts would go into effect several times and the cap exceptions process would expire

and be reinstated. APTA worked tirelessly to address the immediate needs of its members on

these 2 fronts—while beginning long-range planning for a 2011 initiative to develop an alternative

payment system for outpatient PT services.

stRAtegic ouTcoMe:payment for services

Payment for Services

• Although the Affordable care Act eventually extended the therapy cap exceptions process until

December 31, 2010, it did not address the fee schedule’s conversion factor, which was set to reduce

payments to PTs by 21%. Payment cuts went into effect in April 2010, were delayed until the end of

May,andthenwentintoeffectagaininJune.ItwasnearlyJulybeforeCongressfinallypassedabill

providing a 2.2% payment increase under the fee schedule for the remainder of 2010. in november, the

newly passed Physician Payment and Therapy Act of 2010 kept the 2.2% update in place and extended

the therapy cap exceptions process through 2011. it also extended payment increases to providers in

certain geographical regions.

• InJune2010thereleaseoftheproposed2011Medicarephysicianfeeschedulebroughtaboutanother

hurdle for APTA—a new multiple procedure payment reduction (mPPr) policy that would reduce

payments for outpatient services by 11%-13%. Within 24 hours of its release, APTA began a 4-month

advocacy campaign against the proposed policy. The association met with White house officials, senior

officials at the centers for medicare and medicaid services (cms), members of congress, and the

MedicarePaymentAdvisoryCommission;analyzedmorethan3.5milliontherapyclaims;submitted

extensivecommentstoCMSidentifyingtheflawswiththeMPPRpolicy;andledacoalitionoftherapy

professional organizations, hospitals, nursing homes, and other stakeholders. As a result the final rule

reduced payments in 2011 by only 7% to 9%, with further offsets by the physician practice information

survey and medicare economic index rebasing, bringing the estimated combined impact of the mPPr

to be approximately -5% in 2011 and -1% in 2013, depending on the provider.

Payment for Services

• APTA facilitated in payer policy reversals of Blue cross/Blue shield of Kansas (related to payment for

PTAservices)andUnitedHealthCare(relatedtopaymentformanualtherapy)thatwouldhavehada

negative impact on services provided by PTs.

• looking forward and into the long term, in 2010 APTA drafted and is reviewing model physical

therapy benefit language for private insurance plans. once the model is finalized, APTA will work

to disseminate and include it in the “essential benefits package” outlined in the health care reform

legislation. APTA also was instrumental in ensuring that rehabilitation and habilitation were on the list

of minimum services to be covered under an essential benefits package.

• APTA successfully advocated for policy changes in medicare’s outpatient hospital prospective

payment system (PPs) that enable physical therapists to order physical therapy services in the hospital

outpatient setting, as long as state laws and hospital staff bylaws permit it. As originally proposed, the

outpatient PPs rule would have restricted PTs from doing so.

• With APTA input, wound care cPT codes (97597-97598) were modified to provide more appropriate

reimbursement for larger wounds.

Public identity/ recognition

Targeted consumer and professional groups will recognize the benefits of and increase use of the

services of physical therapists as practitioners of choice in maximizing movement and function.

• APTA took full advantage of online resources to describe the value of physical therapy services

to the public. Traffic to APTA’s consumer Web site moveforwardpt.comjumped76%between

March2010andMarch2011;inparticular,visitstoapagetargetedtohealthcareprofessionals

jumped626%betweenSeptember2010andJanuary2011.APTA’sFacebook page now has over

1,700fans;animpressivenumberforarelativelynew,non-profitsite.Tosupporttheseinitiatives

and attract further attention, APTA created more than 30 videos for the consumer youTube

channel,launchedinthesummerof2010.Visitorsnowwillfindasolidandrespectablelibraryof

videosonavarietyofsubjects.

• Twitterupdatesfeedintotheconsumersiteandhelptodrawinterestandbuildcontent.Four

consumer-oriented “Tweetchats” discussed foot health for runners, conditions affecting

pregnant and postpartum women, the importance of physical activity to prevent and combat

obesity, and holiday gift ideas for children with disabilities.

stRAtegic ouTcoMe:public identity/Recognition as practitioner of choice

Public identity/ recognition

• Because relationships with other health care organizations enhance exposure of the physical

therapy profession, APTA increased collaborations with other groups in 2010, such as

exhibiting at conferences and advertising in publications for the American Academy of nurse

PractitionersandtheAmericanAcademyofFamilyPhysicians,andgeneratingarticlesand

brochures with other organizations, such as the American heart Association and the national

center on Physical Activity and Disability.

• APTA also sought increased media exposure in 2010, developing a “media corps” that now

includes 20 professionally trained national spokespeople for the profession and securing media

placements with The New York Times, The Wall Street Journal, USA Today, and The Washington

Post, among others.

research

Facilitate creation of and access to new knowledge that informs clinical decision-making about the

organization and delivery of physical therapist services at the point of care.

• Physical Therapy (PTJ) published APTA’s updated physical therapy research agenda, electronically

inDecember2010andinprintFebruary2011.Theupdatedagendaaddressesthecontinuumof

basicsciencetopolicyresearch;helpstoguidejuniorresearchersintheircurrentandfuture

pursuits;developsalistofresearchissuesthatcanbesharedwithpotentialfunders;and

incorporatestheterminologyoftheInternationalClassificationofFunctioning,Disability,and

Health(ICF).

• APTA and its sections continued progress on development of a national outcomes Database

consisting of aggregated data that APTA and independent researchers will use to answer

questions designed to improve the care of individuals receiving physical therapy services. in

2010 APTA began gathering data as part of investigating the feasibility of enabling the database

to collect diverse clinically related data.

• To increase research advocacy opportunities for APTA members and staff, APTA began or

revisited collaborations with numerous funding agencies such as the national institutes of

health and its nichD, ncmrr, nhlBi, niDrr, niA, and niAms.

stRAtegic ouTcoMe:Research

Standards for Practice

Evidence-based practice principles will be routinely identified, applied, and integrated in physical

therapist practice.

• To promote standard terminology for evidence-based documents, APTA gathered publications

standards from the association’s sections to identify current use, with the goal of developing

common language and disseminating the information via articles, section and chapter vehicles,

and the Practice area of APTA’s Web site. more standardization among APTA documents will

translate to better understanding of the quality of the evidence.

• PTnow, APTA’s upcoming online physical therapy clinician’s portal, collaborated with

internationalevidenceworkgroupsastheportalprojectenteredintoitsfinaldevelopment

stages. PTnow will debut in 2011.

• PTJ launched a new quarterly feature—leAP: linking evidence and Practice—to help clinicians

in daily practice. each leAP article summarizes a cochrane review or other scientific evidence

resource on a single topic and presents clinical scenarios based on real patients to illustrate how

the results of the review can be used to directly inform clinical decisions.

stRAtegic ouTcoMe:standards for practice

finAnciAls

Treasurer’s report

over the last 3 years i have had the privilege to serve as your APTA

treasurer. in this role i have had the opportunity to work with and learn

fromcolleagues,inparticular,theBoardofDirectors,theFinanceand

Audit committee, supportive staff, and members such as you. i have

witnessed a dedication to “always do the right thing” and a commitment

to ensure that our association remains strong and fiscally healthy for

thefuture.Aswereflectbackon2010Iwouldliketohighlightsome

accomplishments.

in 2009, we were fortunate to have a strong investment market to

help generate a positive bottom line. Although our investments were

positive, it was the solid work of the association on all levels that created our surplus for 2010. our

total revenues from operations rose to 4.9%, which is the highest increase in recent years. This

was due to growth in membership and conference attendance, and marketing new and innovative

products and services. With increased revenue we are allowed to provide services for the member

and profession as a whole. We continue to be good stewards of your money by keeping expenses

under budget. our investment return of 12% pushed our portfolio to the $20 million mark, a number

we had not seen since the decline in 2008. mike Bostler of the Bogdahn Group, who has been our

advisor for several years, continued to provide us wisdom through the bull and bear markets and,

as always, made the right choice at the right time.

tReAsuReR’s rePorT

connie hauser, pt, Dpt, Atctreasurer

Treasurer’s report

i would be remiss if i did not mention that in early 2011 APTA made the last mortgage payment

on our buildings. We are debt free on our real estate. credit must be given to the Board and staff

members who had the vision and implemented this investment strategy, for without their guidance

we would not be in this situation today. Thanks to each of you.

i would like to close by thanking each of you for gracefully allowing me to serve in this position.

ThisisbestsummedupbyacommentfromMichaelJ.Fox.Inaninterviewinregardtohiswork

with Parkinson disease he said, “i think that the idea behind any kind of service is that you hope

that its impact will outlive you anyway, whether it happens in your lifetime or not. The fact that it

happened at all is terrific. if it had something to do with your efforts, great.”

Connie D. Hauser, PT, DPT, ATC

Treasurer

2010 APTA revenue Dollar

2010 APTA ReVenue DollAR

5 cents

17 cents

43 cents

7 cents

7 cents

10 cents

11 cents

investment income

conferences & education

Dues

sale of Resources, products, and periodicals

Royalties & Affinity

staff services/Donations/contracts

Accreditation & certification exam fees

2010 APTA expense Dollar

2010 APTA expense DollAR

28 cents

44 cents

28 cents

Association business

Association membership

the profession

Building Stability And Success

the pRofession many of our activities affect not only APTA members but theprofessionasawhole.VictoriesonCapitolHill,changesto standards of practice, and public relations efforts are intertwined with achieving the overall purpose of advancing physical therapist practice. The work done on the business and membership sides helps to accomplish this overall purpose.

AssociAtion membeRship As a membership organization, a bulk of our funds are spent on conferences, component relations, publications, and other areas that support our members. Additionally, this area brings in a significant portion of our resources that is used to fuel other areas of the association. This area is vital to our success as an organization.

AssociAtion business similar to other businesses, associations must perform basic activities related to human resources, information technology, governance, finance, and maintenance of the physical structure of the business. Typical charity-like organizations aim to spend no more than 25 cents of every dollar on “business functions.” Although APTA is not a charity, we work to keep this percentage as low as possible.

builDing stAbility AnD successthe pRofession

AssociAtion membeRship

AssociAtion business

How Did 2010 end up?

how DiD 2010 enD up?2010 AcTuAL 2009 AcTuAL diffeRence

member Dues and member subscriptions $15,661,514 $15,050,808 $610,706

non-Dues Revenue $19,136,671 $18,108,347 $1,028,324

total Revenue from operations $34,798,185 $33,159,155 $1,639,030

less: expenses $35,652,093 $34,923,060 $729,033

net (before investments) ($853,908) ($1,763,905) $909,997

investment Return $1,646,015 $2,619,567 ($973,552)

net funds collected on behalf of wcpt $6,942 $6,869 $73

change in net Assets $799,049 $862,531 ($63,482)

Statement of Financial Position

2010 2009

cash & investments $23,332,392 $23,613,962

other Assets $11,931,361 $10,133,660

total Assets $35,263,753 $33,747,622

liabilities $20,534,057 $19,816,975

net Assets $14,729,696 $13,930,647

total liabilities and net Assets $35,263,753 $33,747,622

STATeMenT oF finAnciAl position at December 31